Angela DeVarso

Angela DeVarso

1. Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to
observe:

a. Hyperactivity

b. Depression

c. Suspicion

d. Delirium

2. Nurse John is aware that a serious effect of inhaling cocaine is?

a. Deterioration of nasal septum

b. Acute fluid and electrolyte imbalances

c. Extra pyramidal tract symptoms

d. Esophageal varices

3. A tentative diagnosis of opiate addiction, Nurse Candy should assess a recently hospitalized
client for signs of opiate withdrawal. These signs would include:

a. Rhinorrhea, convulsions, subnormal temperature

b. Nausea, dilated pupils, constipation

c. Lacrimation, vomiting, drowsiness

d. Muscle aches, papillary constriction, yawning

1. B. There is no set of symptoms associated with cocaine withdrawal, only the depression
that follows the high caused by the drug.
2. A. Cocaine is a chemical that when inhaled, causes destruction of the mucous membranes
of the nose.
3. D. These adaptations are associated with opiate withdrawal which occurs after cessation
or reduction of prolonged moderate or heavy use of opiates
Angela DeVarso

9. Nurse Trish suggests a crisis intervention group to a client experiencing a developmental

crisis. These groups are successful because the:

a. Crisis intervention worker is a psychologist and understands behavior patterns

b. Crisis group supplies a workable solution to the client’s problem

c. Client is encouraged to talk about personal problems

d. Client is assisted to investigate alternative approaches to solving the identified problem

1. D. Crisis intervention group helps client reestablish psychologic equilibrium by assisting

them to explore new alternatives for coping. It considers realistic situations using rational
and flexible problem solving methods.

31. Nurse Fred is assessing a client who has just been admitted to the ER department. Which
signs would suggest an overdose of an antianxiety agent?

a. Suspiciousness, dilated pupils and incomplete BP

b. Agitation, hyperactivity and grandiose ideation

c. Combativeness, sweating and confusion

d. Emotional lability, euphoria and impaired memory

31 D. Signs of anxiety agent overdose include emotional lability, euphoria and impaired
memory.

50. Which activity would be most appropriate for a severely withdrawn client?

a. Art activity with a staff member

b. Board game with a small group of clients

c. Team sport in the gym

Angela DeVarso

d. Watching TV in the dayroom

50 A. The best approach with a withdrawn client is to initiate brief, nondemanding activities
on a one-to-one basis. This approach gives the nurse an opportunity to establish a trusting
relationship with the client. A board game with a group clients or playing a team sport in the
gym may overwhelm a severely withdrawn client. Watching TV is a solitary activity that will
reinforce the client’s withdrawal from others.

1. Marco approached Nurse Trish asking for advice on how to deal with his alcohol
addiction. Nurse Trish should tell the client that the only effective treatment for
alcoholism is:
a. Psychotherapy
b. Alcoholics anonymous (A.A.)
c. Total abstinence
d. Aversion Therapy

C. Total abstinence is the only effective treatment for alcoholism.

2. Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity.

Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would
the nurse expect to administer?
a. Naloxone (Narcan)
b. Benzlropine (Cogentin)
c. Lorazepam (Ativan)
d. Haloperidol (Haldol)

21. C. The nurse would most likely administer benzodiazepine, such as lorazepan (ativan)
to the client who is experiencing symptom: The client’s experiences symptoms of
withdrawal because of the rebound phenomenon when the sedation of the CNS from
alcohol begins to decrease.

22. Which of the following foods would the nurse Trish eliminate from the diet of a
client in alcohol withdrawal?

aMilk
Angela DeVarso

bOrange Juice

c Soda

d. regular coffee

22. D. Regular coffee contains caffeine which acts as psychomotor stimulants and leads to
feelings of anxiety and agitation. Serving coffee top the client may add to tremors or
wakefulness.

23. Which of the following would Nurse Hazel expect to assess for a client who is exhibiting
late signs of heroin withdrawal?

aYawning & diaphoresis

bRestlessness & Irritability

cConstipation & steatorrhea

dVomiting and Diarrhea

23. D. Vomiting and diarrhea are usually the late signs of heroin withdrawal, along with muscle
spasm, fever, nausea, repetitive, abdominal cramps and backache.

25 . Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:

aManipulate the environment to bring about positive changes in behavior

bAllow the client’s freedom to determine whether or not they will be involved in
activities

cRole play life events to meet individual needs

dUse natural remedies rather than drugs to control behavior

Angela DeVarso

25. A. Environmental (MILIEU) therapy aims at having everything in the client’s surrounding
area toward helping the client.

33/ Nurse Benjie is communicating with a male client with substance-induced persisting
dementia; the client cannot remember facts and fills in the gaps with imaginary information.
Nurse Benjie is aware that this is typical of?

a. Flight of ideas
b. Associative looseness
c. Confabulation
d. Concretism

33. C. Confabulation or the filling in of memory gaps with imaginary facts is a defense
mechanism used by people experiencing memory deficits.

50. Mario is admitted to the emergency room with drug-included anxiety related to over
ingestion of prescribed antipsychotic medication. The most important piece of
information the nurse in charge should obtain initially is the:

aLength of time on the med.

bName of the ingested medication & the amount ingested

cReason for the suicide attempt

dName of the nearest relative & their phone number

50. B. In an emergency, lives saving facts are obtained first. The name and the amount of
medication ingested are of outmost important in treating this potentially life threatening
situation.

20. Joy has entered the chemical dependency unit for treatment of alcohol dependency. Which of
the following client’s possession will the nurse most likely place in a locked area?

a. Toothpaste

b. Shampoo

c. Antiseptic wash
Angela DeVarso

d. Moisturizer

20 C. Antiseptic mouthwash often contains alcohol & should be kept in locked area, unless
labeling clearly indicates that the product does not contain alcohol.

21. Which of the following assessment would provide the best information about the client’s
physiologic response and the effectiveness of the medication prescribed specifically for
alcohol withdrawal?

a. Sleeping pattern

b. Mental alertness

c. Nutritional status

d. Vital signs

D . Monitoring of vital signs provides the best information about the

client’s overall physiologic status during alcohol withdrawal & the
physiologic response to the medication used

24. A female client is brought by ambulance to the hospital emergency room after taking an
overdose of barbiturates is comatose. Nurse Trish would be especially alert for which of the
following?

a. Epilepsy

b. Myocardial Infarction

c. Renal failure

d. Respiratory failure

D. Barbiturates are CNS depressants; the nurse would be especially alert for the possibility of
respiratory failure. Respiratory failure is the most likely cause of death from barbiturate over
dose.
Angela DeVarso

25. Joey who has a chronic user of cocaine reports that he feels like he has cockroaches crawling
under his skin. His arms are red because of scratching. The nurse in charge interprets these
findings as possibly indicating which of the following?

a. Delusion

b. Formication

c. Flash back

d. Confusion

B. The feeling of bugs crawling under the skin is termed as formication, and is associated
with cocaine use.

26. Jose is diagnosed with amphetamine psychosis and was admitted in the emergency room.
Nurse Ronald would most likely prepare to administer which of the following medication?

a. Librium

b. Valium

c. Ativan

d. Haldol

D. The nurse would prepare to administer an antipsychotic medication such as Haldol to

a client experiencing amphetamine psychosis to decrease agitation & psychotic
symptoms, including delusions, hallucinations & cognitive impairment.

27. Which of the following liquids would nurse Leng administer to a female client who is
intoxicated with phencyclidine (PCP) to hasten excretion of the chemical?

a. Shake

b. Tea
Angela DeVarso

c. Cranberry Juice

d. Grape juice

C. An acid environment aids in the excretion of PCP. The nurse will definitely give the
client with PCP intoxication cranberry juice to acidify the urine to a ph of 5.5 &
accelerate excretion.

50. Within a few hours of alcohol withdrawal, nurse John should assess the male client for the
presence of:

a. Disorientation, paranoia, tachycardia

b. Tremors, fever, profuse diaphoresis

c. Irritability, heightened alertness, jerky movements

d. Yawning, anxiety, convulsions

C. Alcohol is a central nervous system depressant. These symptoms are the body’s
neurologic adaptation to the withdrawal of alcohol.